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https://www.readbyqxmd.com/read/30541144/pancreatic-islet-transplantation-in-humans-recent-progress-and-future-directions
#1
Michael R Rickels, R Paul Robertson
Pancreatic islet transplantation has become an established approach to β-cell replacement therapy for the treatment of insulin deficient diabetes. Recent progress in techniques for islet isolation, islet culture, and peri-transplant management of the islet transplant recipient have resulted in substantial improvements in metabolic and safety outcomes for patients. For patients requiring total or sub-total pancreatectomy for benign disease of the pancreas, isolation of islets from the diseased pancreas with intrahepatic transplantation of autologous islets can prevent or ameliorate post-surgical diabetes, and for patients previously experiencing painful recurrent acute or chronic pancreatitis, quality-of-life is substantially improved...
December 12, 2018: Endocrine Reviews
https://www.readbyqxmd.com/read/30538750/could-music-minimize-discomfort-and-pain-during-office-based-ent-surgery
#2
Manuele Casale, Lorenzo Sabatino, Antonio Moffa, Giuseppe Oliveto, Vittorio Rinaldi, Andrea Costantino, Paola Vella, Andrea Ianni, Tommasangelo Petitti, Peter Baptista, Fabrizio Salvinelli
Background: Video-assisted endoscopic radiofrequency inferior turbinate volume reduction (RFVTR) is one of the most common surgical therapies for inferior turbinate hypertrophy (ITH). Despite all the technical and surgical advancement, it is advisable to reduce as low as possible the intraoperative discomfort. The aim of this study is to evaluate the role of music in reducing patient discomfort during RFVTR. Materials and Methods: Twenty-three patients with chronic nasal obstruction due to ITH and candidate to RFVTR are included...
2018: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/30537983/epithelioid-cell-granuloma-with-caseating-necrosis-possibly-caused-by-periapical-periodontitis-a-case-report
#3
Risa Shimizu, Kae Tanaka, Yu Oikawa, Hirofumi Tomioka, Kou Kayamori, Tohru Ikeda, Takatomo Yoshioka, Arata Ebihara, Hiroyuki Harada
BACKGROUND: Epithelioid cell granuloma with caseating necrosis is a typical pathological finding in tuberculosis. While specific inflammation, including that related to tuberculosis, can induce caseating granuloma formation, there have been very few reports on the induction of caseating granuloma by non-specific inflammation. Chronic periapical periodontitis is usually related to bacterial biofilm formation as well as fungal or viral infection in the periapical lesion. However, it is difficult to eliminate these extraradicular pathogenic microbes by normal endodontic therapy alone, and more invasive surgical removal is almost always required...
December 11, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/30536545/determinants-for-meaningful-clinical-improvement-of-pain-and-health-related-quality-of-life-after-spinal-cord-stimulation-for-chronic-intractable-pain
#4
Wuilker Knoner Campos, Marcelo Neves Linhares, Jamir Sarda, Adair Roberto Soares Santos, Júlio Licinio, João Quevedo, Kátia Lin, Roger Walz
OBJECTIVES: Previous studies demonstrated significant improvement in mean pain scores and quality of life (QOL) scales in patients with chronic pain who underwent spinal cord stimulation (SCS). However, the number of individuals who experience relevant improvements in QOL, termed the meaningful clinical improvement (MCI), is not known. The present study investigated changes in pain measurements based on MCI after SCS. MATERIALS AND METHODS: Thirty-four patients with chronic intractable pain completed scales of pain (visual analogue scale [VAS]), QOL (SF-36), and psychological dimensions during a 22-month follow-up period (mean)...
December 10, 2018: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/30535031/vidian-neurectomy-for-management-of-chronic-cluster-headache
#5
Shao-Cheng Liu, Ming-Chang Kao, Yun-Chen Huang, Wan-Fu Su
BACKGROUND: Management of chronic cluster headache (CCH) remains a challenging endeavor, and the optimal surgical approach for medically refractory CCH remains controversial. OBJECTIVE: To conduct a preliminary evaluation of the efficacy and safety of vidian neurectomy (VN) in patients with medically refractory CCH. METHODS: Between March 2013 and December 2015, 9 CCH patients, all of whom had failed to respond to conservative therapy, underwent VN with a precise nerve cut and maximal preservation of the sphenopalatine ganglion...
December 10, 2018: Neurosurgery
https://www.readbyqxmd.com/read/30532584/erector-spinae-block-for-postoperative-analgesia-following-axillary-hidradenitis-suppurativa-resection-a-case-report
#6
Johanna Blair de Haan, Nadia Hernandez, Sudipta Sen
Hidradenitis suppurativa (HS) is a chronic inflammatory disease of the terminal hair follicle of the apocrine gland-bearing skin, presenting with inflamed nodules, abscesses, and sinus tracts. Autoimmune, genetic, and infectious factors have been implicated in its pathogenesis. HS can be managed medically using topical and systemic antibiotics and with tumor necrosis factor antibody therapy in severe cases. Surgical treatment can range from local excision, deroofing or excision of sinus tracts, or wide radical excision of severe lesions...
2018: Local and Regional Anesthesia
https://www.readbyqxmd.com/read/30532580/cervical-disc-degeneration-and-neck-pain
#7
Baogan Peng, Michael J DePalma
Cervical intervertebral disc has long been considered a common source of neck pain. However, the pain caused by the disc itself has not been clearly defined so far, and its diagnosis and treatment has always been controversial. Degenerative cervical disc has a rich supply of nerve fibers, is prone to inflammatory reactions, and is susceptible to pain that can be provoked by disc stimulation or distention, and can be eliminated by block. Overwhelming clinical evidence demonstrates that neck pain in patients with degenerative cervical radiculopathy or myelopathy can be subsided rapidly by anterior cervical surgery, further indicating that this neck pain stems from the pathology of cervical disc itself...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/30531400/the-psychological-predictors-of-acute-and-chronic-pain-in-women-following-breast-cancer-surgery-a-systematic-review
#8
Monica McCowat, Leanne Fleming, Julie Vibholm, Diane Dixon
OBJECTIVES: Numerous psychological factors have been found to be associated with acute and chronic pain following breast cancer surgery. However, individual studies tend to be limited to a small number of predictors and many fail to employ prospective designs. This study aimed to identify a broader range of psychological predictors of acute and chronic pain following breast cancer surgery through a systematic review of relevant prospective studies. METHODS: Web of Science, psychINFO, PubMed, and MEDLINE databases were searched to identify relevant prospective cohort studies...
November 30, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/30528444/incidence-and-associated-factors-of-chronic-pain-after-caesarean-section-a-systematic-review
#9
REVIEW
Hailu Yimer, Haile Woldie
The number of CS procedures has increased dramatically both in developed and developing countries in recent decades. CS has been associated with chronic pain. A vicious impediment on quality of life may occur among women who experience chronic post-CS pain (CPCSP). Therefore, this systematic review aimed to synthesize the available evidence on the incidence of chronic pain after Caesarean delivery and the possible risk factors for the development of chronic pain. The PubMed, Embase, and Google Scholar databases were searched for articles published in English between 2004 and January 2017 using appropriate terms...
October 24, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30527380/secondary-alveolar-bone-grafting-in-cleft-lip-and-palate-a-comparative-analysis-of-donor-site-morbidity-in-different-age-groups
#10
Andrzej Brudnicki, Martin Rachwalski, Łukasz Wiepszowski, Ewa Sawicka
INTRODUCTION: There is no consensus regarding the optimal timing for secondary alveolar bone grafting for clefts defects. We aimed to investigate the potential correlation between the age of patients during surgery, donor site symptoms, surgical time and hospitalization following this procedure. MATERIAL AND METHODS: The outcome of 195 consecutive alveolar bone grafting procedures among different age groups (mean: 7.1 years; range 1.8-40.5) was retrospectively assessed based on a chart review and purpose-prepared report forms...
November 12, 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/30525205/orofacial-neuralgia-associated-with-a-middle-cerebral-artery-aneurysm
#11
Raoul Julio Mascarenhas, Narada Dhitimantha Hapangama, Peter James Mews, Arjun Burlakoti, Sarbin Ranjitkar
Chronic orofacial pain of neuropathic origin can present diagnostic and management dilemmas to dental practitioners and also affect the patient's quality of life. Intracranial aneurysms are a potential cause of stroke, with associated sub-arachnoid haemorrhage leading to high rates of mortality and morbidity. A patient who had been previously managed for symptoms of temporomandibular joint disorder (TMD) presented with sharp, shooting pain of moderate intensity. It was precipitated by swallowing, and radiated to the right throat, posterior border of the mandible, ear and temporomandibular joint...
December 7, 2018: Australian Dental Journal
https://www.readbyqxmd.com/read/30521477/pancreas-divisum-a-reemerging-risk-factor-for-pancreatic-diseases
#12
Serghei Covantev
Pancreas divisum (PD) is the most common developmental anatomic variant of pancreatic duct. The attention towards the PD has grown significantly since there are reports that this condition may cause acute relapsing pancreatitis, chronic pancreatitis and chronic abdominal pain syndrome. Furthermore, over the years, there have been multiple reports of PD associated with different types of tumors. There is evidence that PD can be associated with pancreatic tumors (up to 12.5% of cases). The golden standard for diagnosing PD is endoscopic retrograde cholangiopancreatography, but since it is an invasive procedure magnetic resonance cholangiopancreatography with secretin is a good alternative...
December 1, 2018: Romanian Journal of Internal Medicine, Revue Roumaine de Médecine Interne
https://www.readbyqxmd.com/read/30521455/-chronic-pain-after-outpatient-inguinal-hernioplasty-retrospective-cohort-study
#13
Patrícia Oliveira, Ana Duarte, André Guimarães, Armindo Fernandes, Catarina Ferreira, Diana Amorim, Filipa Gouveia, Joana Almeida, Madalena Braga, Mariana Oliveira, Mónica Durães, Rita Pichel, José Romão
INTRODUCTION: Chronic postoperative pain is the most frequent late complication of inguinal hernia repair surgery. The aim of this study is to evaluate the incidence of chronic post-hernioplasty pain in outpatient care at Centro Hospitalar do Porto, describe it, analyse its relation with other variables defined in the literature and study its functional interference. MATERIAL AND METHODS: We performed a retrospective cohort study between February and May 2016, using a structured telephone interview composed of questions from the authors and sections of published questionnaires, two of which are validated for the Portuguese language and culture...
November 30, 2018: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/30516676/18f-fdg-pet-and-bone-scintigraphy-of-epithelioid-hemangioendothelioma
#14
Marc-Antoine Hubaut, Alice Jaillard, Capucine Eloy, Gregory Petyt
We report the case of a 31-year-old woman with left foot bones located epithelioid hemangioendothelioma. It is a rare type of vascular tumor, locally aggressive with metastatic potential. It was revealed by a chronic isolated left foot pain. Conventional imaging showed multiple osteolytic lesions of the bones, appearing aggressive. Both bone scintigraphy and F-FDG PET showed an increased uptake of these lesions and confirmed the limited extent to distal extremity of the left lower limb. Final diagnosis was given on a surgical biopsy...
December 3, 2018: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/30510833/case-report-seaweed-bezoar-masquerading-as-a-malignant-obstruction
#15
E C Abboud, B Babic
Bezoars represent a rare cause of small bowel obstruction (SBO). Nonoperative management of bezoars includes use of endoscopy with mechanical or chemical dissolution methods. When obstruction persists, surgical intervention becomes necessary. Here, we present the case of an Asian woman with a SBO secondary to a phytobezoar masquerading as a malignancy. She presented with two days of acute-on-chronic abdominal pain that started after eating seaweed. Initial computed tomography (CT) scan showed a SBO with a jejunal transition point and ill-defined liver lesions, worrisome for a malignant obstruction with liver metastases...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/30509394/acute-and-chronic-suppurative-osteomyelitis-of-the-jaws-a-10-year-review-and-assessment-of-treatment-outcome
#16
Tyler H Haeffs, Christopher A Scott, Tiffany H Campbell, Youbai Chen, Meredith August
PURPOSE: To review cases of suppurative osteomyelitis of the jaws treated at the Massachusetts General Hospital (Boston, MA) over a 10-year period, evaluate specifics of disease presentation, and answer the clinical question: are there identifiable variables associated with treatment outcome? MATERIALS AND METHODS: A retrospective cohort study was completed using patients treated for suppurative osteomyelitis of the jaws at the Massachusetts General Hospital from April 2006 to October 2016...
December 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30508987/percutaneous-epidural-adhesiolysis-using-inflatable-balloon-catheter-and-balloon-less-catheter-in-central-lumbar-spinal-stenosis-with-neurogenic-claudication-a-randomized-controlled-trial
#17
Myong-Hwan Karm, Seong-Soo Choi, Doo-Hwan Kim, Jun-Young Park, Sukyung Lee, Jin Kyu Park, Young Joong Suh, Jeong-Gil Leem, Jin Woo Shin
BACKGROUND: When conventional interventional procedures fail, percutaneous epidural adhesiolysis (PEA), which has moderate evidence for successful treatment of lumbar spinal stenosis (LSS), has been recommended over surgical treatments. In a previous study, we demonstrated the efficacy of a newly developed inflatable balloon catheter for overcoming the access limitations of pre-existing catheters for patients with severe stenosis or adhesions. OBJECTIVES: This study compared the treatment response of combined PEA with balloon decompression and PEA only in patients with central LSS over 6 months of follow-up...
November 2018: Pain Physician
https://www.readbyqxmd.com/read/30508651/type-of-pelvic-disease-as-a-risk-factor-for-surgical-site-infection-in-women-undergoing-hysterectomy
#18
Innie Chen, Abdul Jamil Choudhry, David Schramm, D William Cameron, Victor Leung, Sukhbir S Singh, Laura Hopkins, Kristina Arendas, Ranjeeta Mallick
STUDY OBJECTIVE: To quantify the relationship between type of benign pelvic disease and risk of surgical site infection (SSI) after hysterectomy DESIGN: Retrospective Cohort (Classification II-2) SETTING: Hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) PATIENT(S): Women who underwent hysterectomy from 2006-2015 and recorded in NSQIP database INTERVENTION: None MEASUREMENTS AND MAIN RESULTS: SSI risk was compared for type of benign pelvic diseases, patient characteristics (age, race and selected comorbidities) and process of care variables (admission status, type of hysterectomy, and operative time)...
November 30, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/30508648/anterior-and-middle-pelvic-organ-prolapse-repair-using-a-six-tension-free-strap-low-weight-transvaginal-mesh-long-term-retrospective-monocentric-study-of-311-patients
#19
Camille Duport, Céline Duperron, Emmanuel Delorme
INTRODUCTION: Treatment of pelvic organ prolapse is an important public health issue due to the ageing population. The Food and Drug Administration, in 2011, issued a warning on complications after transvaginal insertion of high weight mesh. We evaluated a 6 tension-free straps, light prosthesis made from polypropylene monofilaments. MATERIALS AND METHODS: This monocentric, retrospective study included patients undergoing anterior or apical prolapse repair surgery by placement of a six tension-free strap low weight vaginal mesh between 2008 and 2017...
November 30, 2018: Journal of Gynecology Obstetrics and Human Reproduction
https://www.readbyqxmd.com/read/30505564/pain-management-within-an-enhanced-recovery-program-after-thoracic-surgery
#20
REVIEW
Calvin Thompson, Daniel G French, Ioana Costache
Evidence for ERAS within thoracic surgery (ERATS) is building. The key to enabling early recovery and ambulation is ensuring that postoperative pain is well controlled. Surgery on the chest is considered to be one of the most painful of surgical procedures for both open and minimally invasive surgery (MIS) approaches. Increasing use of MIS and improved perioperative care pathways has resulted in shorter length of stay (LOS), requiring patients to achieve optimal pain control earlier and meet discharge criteria sooner, sometimes on the same day as surgery...
November 2018: Journal of Thoracic Disease
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